Greene C S
Department of Orthodontics, Northwestern University Dental School, Chicago, Illinois.
Dent Clin North Am. 1988 Jul;32(3):529-38.
The presumed relationship between occlusal disharmonies and temporomandibular disorders has been the cornerstone of traditional orthodontic thinking about these disorders. Current research, however, indicates that temporomandibular problems are actually medical orthopedic diseases or dysfunctions that have little to do with occlusal morphology or maxillomandibular relationships. Therefore, orthodontists must discard some of their traditional beliefs and practices, replacing them with modern concepts of musculoskeletal pain and dysfunction, in order to provide appropriate care for patients suffering from temporomandibular disorders.
咬合不协调与颞下颌关节紊乱之间的假定关系一直是传统正畸学对这些紊乱病症认识的基石。然而,当前的研究表明,颞下颌关节问题实际上是医学骨科疾病或功能障碍,与咬合形态或上颌下颌关系几乎无关。因此,正畸医生必须摒弃一些传统观念和做法,用现代的肌肉骨骼疼痛和功能障碍概念取而代之,以便为患有颞下颌关节紊乱症的患者提供恰当的治疗。